During Pregnancy

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Feb 6, 1998 - Infectious Diseases in Obstetrics and Gynecology 6:116-122 (1998) ... and Gynecology, University ofFlorida at Jacksonville, Jacksonville, FL.

Infectious Diseases in Obstetrics and Gynecology 6:116-122 (C) 1998 Wiley-Liss, Inc.

Initial and

(1998)

Repeat Screening for Chlamydia trachomatis During Pregnancy

Alexander D. Allaire, * John F. Huddleston, 2 William L. Graves, 3 and Lawrence Nathan 3 1Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, NC

eDepartment of Obstetrics and Gynecology, University of Florida at Jacksonville, Jacksonville, FL -Department of Gynecology and Obstetrics, Grady Memorial Hospital, Emovy University School of Medicine, Atlanta, GA

ABSTRACT Objectives: The objective of this study is to determine the prevalence of Chlamydia trachomatis and risk factors for positive repeat tests in a high-risk population presenting for early prenatal care. Methods: We completed a retrospective cohort study of 2,484 women who initiated prenatal care prior to 20 weeks gestation, delivered, and received testing for cervical C. trachomatis at Grady Memorial Hospital or a Grady-affiliated clinic between July 1, 1993 and Deeember 31, 1994. We calculated adjusted odds ratios (OR) for selected risk factors for a positive initial test and for a positive subsequent test after an initial negative test. Results: The prevalence of C. trachomatis was 14.8%. At initial testing, 10.4% of the women were positive. If the initial test was negative, 5.7% had a positive subsequent test; but if the initial test was positive, 32.0% had a positive subsequent test (P